Julia Kosciuk, BACP

Acceptance and Commitment Therapy helps people notice difficult thoughts and feelings without fighting them, then commit to actions that match their values; it can be useful for anxiety, depression and life transitions. Client-Centred Therapy focuses on creating a supportive, non-judgemental relationship so people can speak openly and find their own solutions; it is helpful when someone needs a calm space to process emotions. Cognitive Behavioural Therapy looks at how thoughts, feelings and behaviours link together and uses practical exercises to change unhelpful patterns, which many find useful for stress and low mood.

Choosing an approach is part of the work and usually happens together with the therapist. Julia will discuss what feels helpful, try different techniques and adjust the plan based on the person's goals and preferences. The first few sessions often focus on understanding the concern and agreeing next steps collaboratively.

Online sessions offer flexibility for busy lives. Video calls let people see facial cues and use visual aids, phone sessions can work when bandwidth is limited, live chat suits shorter check-ins, and text-based messaging allows ongoing notes between sessions. These options make it easier to fit therapy around work, childcare or travel and let people pick the format that feels most comfortable for them.